What could be the reason for bright red blood in stool?

Question

Hello doctor,

I am a 23-year-old female. I weigh 220 pounds at 5 feet 2 inches. There is bright red blood in my stool, not dark at all, and no clots.

I have asthma. I am also on Clomid to help me conceive, and I just finished a round of it yesterday. The bleeding started yesterday.

Kindly guide.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concerns.

The most common causes of blood in stools are either piles or an anal fissure, and both should be painful. So please provide me with more details to identify the cause:

Is there any pain during or after defecation?
Do you have any constipation or diarrhea?
Do you have any positive family history of colon cancer?

Causes of blood in stools include arteriovenous malformation, hemorrhoids (clot), and cancer. Wish you all well-being.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Most likely, you have an anal fissure (injury in the anal canal), which causes pain (sometimes very severe) during and after bowel motions. It is a very common condition. If stools are hard, they should be treated with stool softeners. I suggest:

Stay well hydrated.
Eat a lot of high-fiber foods such as green vegetables, fruits, and oats.
Exercise regularly.
Do not neglect the urge to pass motions.
Use stool softeners if there are hard stools.
Topical Lidocaine (an anesthetic) is helpful in relieving pain.
Local GTN ointment is suitable if the pain is very severe.

In some cases, the acute anal fissure turns into a chronic one with long-term symptoms. This condition has no relation to asthma or Clomid you take for conception.

Regarding your asthma, is it well-controlled? What are the medications you currently take for it?

Please feel free to reach out in case of further queries.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

The medications you are taking are appropriate for your asthma. You have to use the peak flow meter regularly and write down the readings to judge if everything is under control.

If you use Ventolin (Albuterol) frequently, it means that your medications need an upgrade.

Regarding the Clomid, it is taken in the first five days of the cycle, with the dosage ranging from 50 to 150 mg according to the ovulation rate. You can follow up ovulation with the sonography. Also, you have to know that Clomid increases the risk of twins and triplets considerably.

Since when have you been using Clomid?

Please feel free to reach out in case of further queries.

Thank you.